Individual provider · Type 1 NPI
Wade Boggs
Student in an Organized Health Care Education/Training Program · Paragould, AR
NPI number
1114824836
Active
Practice location
1300 Clover Cir
Paragould, AR 72450-4883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | PI23902 (AR) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Paragould
About NPI 1114824836
Wade Boggs's National Provider Identifier is 1114824836, issued on Oct 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Paragould, AR. The record was last updated on Oct 26, 2026.